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Specialty: Emergency Medicine

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Total 1761 results found since Jan 2013.

Patient behaviour at the time of stroke onset: a cross-sectional survey of patient response to stroke symptoms
Conclusions This study provides insights into patient response when a stroke occurs, with the presence and action of others highlighted as critical in fast response to stroke symptoms. Knowledge of stroke warning signs and risk factors was low among stroke survivors. Findings highlight the complexity of changing help-seeking behaviour during stroke onset, and provide directions for public education efforts to reduce prehospital delay.
Source: Emergency Medicine Journal - May 18, 2016 Category: Emergency Medicine Authors: Mellon, L., Doyle, F., Williams, D., Brewer, L., Hall, P., Hickey, A. Tags: Stroke, Radiology, Clinical diagnostic tests Original article Source Type: research

Get Ahead of Stroke Campaign Debuts App to Help EMS Assess Stroke Severity
Fairfax, Va. — The Get Ahead of Stroke campaign has debuted an app to help EMS first responders transport and triage patients quickly to stroke centers equipped to treat severe strokes. Called Stroke Scales for EMS, the app is designed to assist first responders in assessing stroke severity in emergency situations and, in cases of severe stroke, transport patients to neuroendovascular-ready stroke facilities. “Stroke is a leading cause of death and disability nationwide. This app will help first responders quickly and accurately identify cases of severe stroke so they can transport patients to appropriate treatment rig...
Source: JEMS Patient Care - October 13, 2017 Category: Emergency Medicine Authors: Get Ahead of Stroke Campaign Tags: Cardiac & Resuscitation Patient Care Communications Dispatch Industry News Source Type: news

The face arm speech test: does it encourage rapid recognition of important stroke warning symptoms?
Conclusions The survey has confirmed the effectiveness of the recent FAST campaign in raising public awareness of stroke and stroke warning signs, though poorest penetration was seen in the black and minority ethnic population. However, important stroke symptoms, including leg weakness and visual loss, were poorly recognised. This may lead to delays in presentation, specialist assessment and secondary prevention, and such stroke warning signs should be included in future public health campaigns.
Source: Emergency Medicine Journal - May 13, 2013 Category: Emergency Medicine Authors: Robinson, T. G., Reid, A., Haunton, V. J., Wilson, A., Naylor, A. R. Tags: Stroke Original article Source Type: research

Can a media campaign change health service use in a population with stroke symptoms? Examination of the first Irish stroke awareness campaign
Conclusions This first Irish F.A.S.T. campaign had an initial impact on ED attendance of patients with stroke symptoms. However, the campaign effects were not sustained in the long term. Results indicate that prehospital delay in accessing acute stroke services is a complex process with involvement of factors other than stroke knowledge and intention to call 911.
Source: Emergency Medicine Journal - June 12, 2014 Category: Emergency Medicine Authors: Mellon, L., Hickey, A., Doyle, F., Dolan, E., Williams, D. Tags: Stroke Original article Source Type: research

Patients' and carers' experiences of gaining access to acute stroke care: a qualitative study
Conclusions The stroke awareness social marketing campaign has contributed to public knowledge and was perceived to assist in reducing prehospital delay. It has also resulted in an enhanced knowledge of the significance of rapid treatment on admission to hospital and raised public expectation of EMS and stroke services to act fast. More research is required to assist organisational change to reduce in-hospital delay.
Source: Emergency Medicine Journal - November 14, 2013 Category: Emergency Medicine Authors: Harrison, M., Ryan, T., Gardiner, C., Jones, A. Tags: Stroke Original article Source Type: research

A systematic review of stroke recognition instruments in hospital and prehospital settings
Conclusions Available data do not allow a strong recommendation to be made about the superiority of a stroke recognition instrument. Choice of instrument depends on intended purpose, and the consequences of a false-negative or false-positive result.
Source: Emergency Medicine Journal - October 19, 2016 Category: Emergency Medicine Authors: Rudd, M., Buck, D., Ford, G. A., Price, C. I. Tags: Stroke Review Source Type: research

Vomiting should be a prompt predictor of stroke outcome
Conclusions Compared with patients without vomiting, the risk of death was significantly higher in patients with vomiting at the onset of stroke. Vomiting should be an early predictor of the outcome.
Source: Emergency Medicine Journal - August 13, 2013 Category: Emergency Medicine Authors: Shigematsu, K., Shimamura, O., Nakano, H., Watanabe, Y., Sekimoto, T., Shimizu, K., Nishizawa, A., Makino, M. Tags: Drugs: cardiovascular system, Stroke, Hypertension Original article Source Type: research

Is air transport of stroke patients faster than ground transport? A prospective controlled observational study
Conclusions We found significantly shorter time from contact to triaging neurologist to arrival in the regional stroke centre if stroke patients were transported by primarily dispatched ground ambulance compared with a secondarily dispatched helicopter.
Source: Emergency Medicine Journal - March 12, 2014 Category: Emergency Medicine Authors: Hesselfeldt, R., Gyllenborg, J., Steinmetz, J., Do, H. Q., Hejselbaek, J., Rasmussen, L. S. Tags: Stroke, Radiology, Clinical diagnostic tests Original article Source Type: research

Paramedic Initiated Lisinopril For Acute Stroke Treatment (PIL-FAST): results from the pilot randomised controlled trial
Conclusions It is possible to conduct a paramedic initiated double-blind RCT of a treatment for acute stroke. However, to perform a definitive RCT in a reasonable timescale, a large number of trained paramedics across several ambulance services would be needed to recruit the number of patients likely to be required. Clinical trial registration http://www.clinicaltrials.gov. Unique identifier: NCT01066572.
Source: Emergency Medicine Journal - November 19, 2014 Category: Emergency Medicine Authors: Shaw, L., Price, C., McLure, S., Howel, D., McColl, E., Younger, P., Ford, G. A. Tags: Open access, Stroke, Hypertension, Resuscitation Original article Source Type: research

Reasons and evolution of non-thrombolysis in acute ischaemic stroke
Conclusion Onset-to-admission delays remain the main exclusion criterion for thrombolysis. Among early arrivals, relative contraindications such as minor stroke severity and advanced age were frequent. Thrombolysis rate increased with the reduction of thrombolysis restrictions (eg, age and stroke severity).
Source: Emergency Medicine Journal - March 23, 2017 Category: Emergency Medicine Authors: Reiff, T., Michel, P. Tags: Open access, Stroke, Radiology, Clinical diagnostic tests Original article Source Type: research

The association between prehospital care and in-hospital treatment decisions in acute stroke: a cohort study
Conclusions This study highlights the importance of hospital prealerting, accurate stroke recognition, and recording of onset time. Those not recognised with stroke in a prehospital setting appear to be excluded from the possibility of rapid treatment in hospital, even before they have been seen by a specialist.
Source: Emergency Medicine Journal - January 20, 2015 Category: Emergency Medicine Authors: Sheppard, J. P., Mellor, R. M., Greenfield, S., Mant, J., Quinn, T., Sandler, D., Sims, D., Singh, S., Ward, M., McManus, R. J., Carr, Helliwell, Nand, Phillips, Scott, on behalf of the CLAHRC BBC investigators Tags: Open access, Stroke Original article Source Type: research

A multi-modal approach to quality improvement: reducing 'door-to-ct' time in potenitally thombolysable stroke patients
Conclusion Early thrombolysis has been shown to improve outcomes in patients with ischaemic stroke.2 Reducing ‘Door-to-CT' scan time in the ED is an important step in enabling a reduction in the overall DTN time. This can be achieved by stream-lining key processes in the patient journey through the ED. A multi-modal approach ensured this change was introduced safely and effectively whilst re-enforcing a core change to standard working practice. Further work on process mapping and the delivery of thrombolysis is the next obvious step in further reduction in DTN time. Figure 1Quality Improvement Run Chart 'Door-t...
Source: Emergency Medicine Journal - November 17, 2016 Category: Emergency Medicine Authors: Waterson, F., Braithwaite, I., Tuck, I., Alcock, R. Tags: Stroke, Radiology, Clinical diagnostic tests, Radiology (diagnostics) RCEM Lightning presentations Source Type: research